OBGYN & Urology Flashcards

1
Q

pre-e (or HTN) in 1T is suggestive of

A

molar pregnancy

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2
Q

positive KOH prep

A

BV or trich

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3
Q

vaginal ph<4.5 suggestive of

A

yeast

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4
Q

maternal positioning to prevent birth after cord prolapse

A

knee to chest position, prone on knees chest to table; trendelenberg, can also place foley and instill fluid

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5
Q

first two maneuvers for shoulder dystocia

A
  1. mcroberts (flexion of knees)

2. suprapubic pressure

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6
Q

where are dorsal penile nerves located

A

1 and 11 o’clock position

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7
Q

where should penile aspiration take place

A

2 or 10 o’clock position

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8
Q

priapism after c spine injury suggestive of injury where

A

c5

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9
Q

semi-erect painless priapism

A

high flow priapism (less dangerous)

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10
Q

what causes false negative proteinuria on UA

A

dilute urineq

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11
Q

RH negative moms get

A

rhogam

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12
Q

recommended rhogam dose <12 weeks

A

50

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13
Q

how to distinguish a penile contusion from a penile fracture

A

tunica albuginea remains intact in contusion

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14
Q

MC sexually transmitted infection

A

HPV

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15
Q

most common reportable STI

A

chlamydia

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16
Q

most common cause condyloma acuminata

A

HPV 6 and 11

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17
Q

when does acute fatty liver of pregnancy occur

A

third trimester

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18
Q

at what age should patients be referred to a gynecologist to rule out bartholin gland cancer

A

> 40

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19
Q

inability to retract the foreskin into anatomic position

A

paraphimosis

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20
Q

definitive treatment for paraphimosis

A

circumcision

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21
Q

pain and dysthesias of the proximal, anterolateal thigh

A

meralgia paresthetica (caused by inguinal ligament sitting on lateral cutaneous femoral nerve)

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22
Q

relief of pain in meralgia herpetica

A

local injection of anesthetic (treatment is weight loss and loose clothes)

23
Q

painless bright red vaginal bleeding in third trimester

A

placenta previa

24
Q

painful third trimester vaginal bleeding

A

placental abruption

25
when should perimortem c-section be performed
within 4 minutes of maternal cardiopulmonary arrest
26
lab that should be checked if concerned for placental abruption
fibrinogen
27
management of testicular torsion
immediate urology consult and then ultrasound
28
frothy green discharge with strawberry cervix
trichomoniasis
29
pH >5
trich
30
late decels on fetal monitoring suggest
uteroplacental insufficiency
31
inflammation of glans penis
balanitis
32
inflammation of distal foreskin
balanoposthitis
33
treatment of balanoposthitis
hygiene, oral fluconazole, topical antifungals
34
greatest risk factor for ectopic pregnancy
past history of ectopic pregnancy
35
when is beta HCG positive
about 7 days after fertilization
36
what can you use to dectect vulvar tears in sexual assault
toluidine blue
37
what can be used to detect semen stains in sexual assault
wood's lamp
38
what vaccination should be given at initial evaluation after sexual assault
hepatitis B if non-immunized
39
what testing should be done at initial eval after sexual assault
1. forensic testing if patient wants | 2. pregnancy testing
40
standard treatment to give at initial evaluation after sexual assault
cover gonorrhea and chlamydia
41
molar pregnancy increases risk of what malignancy
choriocarcinoma
42
4 Ts of postpartum hemorrhage
1. uterine aTony 2. trauma to birth canal 3. retention of fetal or placental tissue 4. coagulopathy or thrombin disorder
43
duration of treatment in asymptomatic bacteruria of pregnancy
7-10 days
44
what percentage of pregnant women with asymptomatic bacteruria develop pyelo
30%
45
cycle length in oligomenorrhea
>35 days
46
cycle length in polymenorrhea
<21 days
47
scanty menstruation
hypomenorrhea
48
absense of menses for 6 months
amenorrhea
49
regular menstrual cycles with excessive flow and duration
menorrhagia
50
irregular menstrual cycles
metorrhagia
51
irregular cycles with excessive flow and duration
menometorrhagia
52
when does acute fatty liver of pregnancy usually occur
third trimester
53
Methylergometrine is contraindicated in what conditino
Hypertension or Pre-e